INSTRUCTIONS FOR COMPLETING AN EVICTION ACTION COMPLAINT FORM
Complete name of property owner (Plaintiff) Complete names and dates of birth of each tenant (Defendant). Fill in name of person signing the complaint (owner or owner's agent).

1. Fill in the month and the year the landlord leased or rented to the tenant. Check whether it's an ORAL or WRITTEN agreement. Fill in complete address of the property, including apartment number, upstairs or downstairs. Indicate whether there is a garage or not by checking YES or NO. Fill in the city in which the property is located and fill in the zip code. Fill in the dates the rental agreement is from and to and the dollar amount of the rent and the date that the rent is due. 2. Complete the name of the owner of the property. 3. Under number 3 on the form, A and B or C must be checked. If A and B are checked, you must indicate where the information is posted. If C is checked, you must indicate how the information in A was made known to the tenants.

4. Under number 4 on the form, select either A,B,C, D or a combination. If A is checked, you must fill in the months rent is owed and the amount of rent owed. You may fill in the other blanks as appropriate. The relevant statute allows the tenant to pay and stay if s/he bring[s] to court the amount of rent that is in arrears [overdue], with interest, costs of the action, and an attorney's fee not to exceed $5, and by performing any other covenants of the lease. If B is checked, check whether the tenant was given or gave notice to vacate. Check whether the notice was served on Tenant or Landlord, fill in the date the notice to vacate was served, check whether tenant Was Told or Gave notice to vacate, and the date when the tenant was to vacate the property. If C is checked, fill in dates and specific details of how the tenant broke the terms of the rental agreement. You must bring a copy of the lease with you to court. Only check D if Minn. Stat. §504B.171 Covenant of landlord and tenant not to allow unlawful activities has been violated. You must be specific.

Fill in the Verification and Affidavit of Non-Military Status and the person signing the complaint form fills in his/her name and title. Sign before a Notary Public or Court Clerk and fill in address, city, state, zip and daytime phone number. Bring to the county court administrator for filing and pay any fee required.